Organization Active NPI

Chevick Family Homecare LLC

  • Home Health Agency
  • Tempe, AZ
National Provider Identifier
1699261982
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
OTC8923 Issued in AZ
Legal business name
CHEVICK FAMILY HOMECARE LLC
Practice address
600 E Baseline Rd
Tempe, AZ 85283-1247
Phone
(480) 508-4924
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victor OgotiNPI 1902553332
Title
President
Phone
(480) 508-4924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OTC8923 AZ Primary

Addresses

Primary practice location

600 E Baseline Rd
Tempe, AZ 85283-1247

Mailing address

600 E Baseline Rd
Tempe, AZ 85283-1247
Phone (480) 508-4924

Other identifiers 2

IdentifierTypeStateIssuer
384745MedicaidAZ
OTC8923OtherAZDHS LICENCE

Other names 1

  • Chevick Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

600 E Baseline Rd
Tempe, AZ 85283
Phone (480) 508-4924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1699261982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831247",
            "telephone_number": "480-508-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831247",
            "telephone_number": "480-508-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVICK FAMILY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "OGOTI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-508-4924"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "OTC8923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384745",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENCE",
            "identifier": "OTC8923",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chevick Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.